Healthcare Provider Details

I. General information

NPI: 1164304077
Provider Name (Legal Business Name): REMEDY MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 SAINT ANNE ST
RAPID CITY SD
57701-4694
US

IV. Provider business mailing address

3535 VADNAIS CENTER DR STE 150
VADNAIS HEIGHTS MN
55110-3507
US

V. Phone/Fax

Practice location:
  • Phone: 605-348-8000
  • Fax: 605-348-8000
Mailing address:
  • Phone: 952-431-5330
  • Fax: 952-431-5334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE DESHANO
Title or Position: CEO
Credential: FOUNDER
Phone: 763-312-7572